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Case Reports in Obstetrics and Gynecology
Volume 2017, Article ID 3167273, 3 pages
Case Report

Spontaneous Adrenal Hemorrhage in Pregnancy: A Case Series

Department of Obstetrics and Gynecology, Crozer Chester Medical Center, One Medical Center Boulevard, Upland, PA 19013, USA

Correspondence should be addressed to Ankita Gupta; moc.liamg@40atpugatikna

Received 10 February 2017; Accepted 16 March 2017; Published 22 March 2017

Academic Editor: Joseph C. Canterino

Copyright © 2017 Ankita Gupta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Abdominal pain during pregnancy has a broad differential diagnosis which includes spontaneous adrenal hemorrhage (SAH). There is scant literature available on optimal mode of delivery in stable patients. Cases. Patient 1 was a 35-year-old nullipara who presented at 36 weeks of gestation with left flank pain. Patient 2 was a 27-year-old multipara at 38 weeks who presented with left upper quadrant pain. Diagnosis of SAH was made by CT scan and both were managed with pain control, serial hemoglobin assessments, and abdominal exams resulting in uncomplicated vaginal deliveries. Conclusion. SAH, although rare, is an important consideration when evaluating abdominal and flank pain in pregnancy. Management options vary from conservative management to surgical intervention depending on the stability of the patient.